Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CYNTHIA WALLACE, AGPCNP
ActiveMRS. CYNTHIA WALLACE, AGPCNP is a Gerontological Nurse Practitioner healthcare provider located in MEDFORD, Oregon. NPI 1811393648 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · MEDFORD, OR
Registration Details
- NPI Number
- 1811393648
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 5, 2014 (11.72901224559 yrs)
- Last Updated
- Sep 30, 2020
- License
-
201500016NP-PP (OR)
Practice Information
- Address
-
1111 CRATER LAKE AVEMEDFORD, OR, 975046241Browse OR providers · Browse ZIP 97504
- Phone
- 5417325250
- Fax
- 5417325251
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Other Gerontological Nurse Practitioner Providers in MEDFORD, OR
| Name | Credential | NPI |
|---|---|---|
| LANDA RHODA COX | — | 1427181767 |
| NANCY OBISPO | NP | 1871983353 |
| MRS. DASHIA HEWITT | N.P. | 1861926586 |
| MRS. LINDSEY GAVIOLI FOX | FNP-BC, AGACNP-BC | 1629588504 |
| AMANDA K FISCHER | AGACNP | 1346854759 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.